176 BRIGHTWATER DR #1U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICA
Important: Follow the instructions on pages 1—
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) in:
SECTION A — PROPERTY INFORMATION
Al. Building Owner's Name
BRIGHTWATER BLUE RESIDENCES, LLC
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route al
Box No.
176 BRIGHTWATER DRIVE UNIT 1
City
CLEARWATER
State
FLORIDA
A3. Property Description (Lot and Block Numbers. Tax Parcel Number. Legal Description.
RECEIVED BY: J.A.W.
FEB 0 7 2018
PLANNING &
CITY OF CLEARWATER
r �Y -
BCP2014-092088
ELEV CERT
BRIGHTWATER BLUE VACATI
Zoning: Tourist
LOT 16, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0160
A4. Building Use (e.g.,
A5. Latitude/Longitude:
A6. Attach at least
A7. Building Diagram
A8. For a building
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
A9. For a building with
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
Residential, Non -Residential, Addition,
Lat. 27.9720° N. Long.
Accessory, etc.) RESIDENTIAL
82.8242° W.
Horizontal Datum:
obtain flood insurance.
1.0 foot above adjacent
above adjacent grade
❑ NAD 1927
grade
x NAD 1983
3
2 photographs of the building if the
Number 7
Certificate is being used to
1285 sq ft
with a crawlspace
of crawlspace
flood
of flood openings
flood openings?
an attached
of attached
flood
of flood openings
flood openings?
or enclosure(s):
or enclosure(s)
openings in the crawlspace
in A8.b 600
sq
or enclosure(s) within
in
sq ft
within 1.0 foot
sq in
N/A
x Yes ❑ No
garage:
garage N/A
openings in the attached garage
in A9.b N/A
❑ Yes x No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
CITY OF CLEARWATER - 125096
B2. County Name
PINELLAS COUNTY
B3. State
FLORIDA
B4. Map/Panel
Number
12103C0102
B5. Suffix
G
B6. FIRM Index
Date
8-18-09
B7. FIRM Panel
Effective/
Revised Date
9-3-03
B8. Flood Zone(s)
AE
B9. Base Flood Elevation(s)
(Zone AO, use Base
Flood Depth)
11'
B10. Indicate the source
❑ FIS Profile
B11. Indicate elevation
B12. Is the building
Designation Date:
of the Base
Flood Elevation (BFE)
❑ Community Determined
for BFE in Item B9:
Coastal Barrier Resources
❑ CBRS
data
❑ NGVD
System
or base flood depth entered in Item B9:
❑ Other/Source:
x FIRM
datum used
located in a
N/A
1988 ❑ Other/Source:
or Otherwise Protected
1929 x NAVD
.
(CBRS) area
❑ OPA
Area (OPA)?
❑ Yes x No
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 1 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction*
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations — Zones A1—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30,
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,
Benchmark Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988
x
Finished Construction
AR/AH, AR/A0.
enter meters.
Indicate elevation datum
❑ NGVD 1929
used
x
for the elevations in items a) through h) below.
NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6 . 52
x
the measurement used.
feet ❑ meters
b) Top of the next higher floor 17 49
x
feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) N A
x
feet ❑ meters
d) Attached garage (top of slab) N A
x
feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 11 05
x
feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 6 . 1
x
feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 6 . 4
x
feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N . A
x
feet ❑ meters
structural support
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect
I certify that the information on this Certificate represents my best efforts to interpret
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section
' Were latitude and longitude in Section A provided by a licensed land surveyor?
x
authorized by law
the data available.
1001.
Yes ❑ No
to
I understand
x
certify elevation information.
that any false
Check here if attachments.
Certifier's Name License Number
GEORGE A. SHIMP III 6137
Title Job Number
VICE PRESIDENT 140283-Q
Place
Seal
Company Name
GEORGE A. SHIMP II & ASSOCIATES, INC.
Here
h&A,,,,,_./a:(51a--
Address
3301 DeSOTO BOULEVARD, SUITE D
# 6137 Date: 1-30 2018
City State ZIP Code
PALM HARBOR FLORIDA 34683
(Not valid unless embossed with
surveyor's original raised seal)
S'
ture � � Date Telephone
lir 1-30-2018 727-784-5496
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS
DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S
ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 2 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a
complete Sections A, Band C. For Items E1—E4, use natural grade, if available. Check the measurement
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters
LOMA or LOMR-F request,
used. In Puerto Rico only,
the elevation is above or below
❑ above or ❑ below the HAG.
❑ above or ❑ below the LAG.
9 (see pages 1-2 of Instructions),
❑ above or ❑ below the HAG.
❑ above or ❑ below the HAG.
❑ above or ❑ below the HAG.
with the community's
this information in Section G.
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or
the next higher floor (elevation C2.b in
the diagrams) of the building is ❑ feet ❑ meters
E3. Attached garage (top of slab) is ❑ feet ❑ meters
E4. Top of platform of machinery and/or equipment
servicing the building is ❑ feet ❑ meters
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify
SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 3 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION G — COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement
used in Items G8—G10. In Puerto Rico only, enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE)
or Zone AO.
G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for: ❑
G8. Elevation of as -built lowest floor (including
of the building:
G9. BFE or (in Zone AO) depth of flooding at the
G10. Community's design flood elevation:
New Construction ❑ Substantial Improvement
basement)
❑ feet
❑ feet
❑ feet
❑ meters Datum
building site:
❑ meters Datum
❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location, per C2(e), if applicable)
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 4 of 6
ELEVATION CERTIFICATE
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
111.
1..7" 0 I _...... os�_
,;cam
Photo One
Photo One Caption FRONT VIEW 1-30-2018
............... _........
i
`1.in.
lia ' L-17 Erni
,E.
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a
Milli is 14�
! sir-
MIur itm �nm
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4 111, 1 I
Photo Two
Photo Two Caption REAR VIEW 1-30-2018
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 5 of 6
ELEVATION CERTIFICATE
BUILDING PHOTOGRAPHS
Continuation Page
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and 'Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo One
Photo One
Photo One Caption N/A
Photo Two
Photo Two
Photo Two Caption N/A
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 6 of 6
•
ELEVATION CERTIFICATE
Surveyor's Notes
Attachment Page 7
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION D - SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2)
Al.) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN
SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE
COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE
SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND
MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND
SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND
SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO
GEORGE A. SHIMP II & ASSOCIATES, INC.
A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY.
A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR
EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET.
A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY.
CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS
BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS
DETERMINATION.
A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED
BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A
GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT
CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A
FINISHED (HABITABLE) AREA.
IF APPLICABLE, THE STRUCTURE CONTAINS: 0 CRAWLSPACE IEI ENCLOSURE 0 ATTACHED GARAGE 0 N/A
IF APPLICABLE, THE CRAWLSPACE CONTAINS NIA ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ.
FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ).
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 3 ENGINEERED FLOOD OPENING(S) CERTIFIED TO
COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ).
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: GARAGE, STORAGE, ENTRY, ELEVATOR AND STAIRS
IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES I I NO 0 N/A
A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER
N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ).
A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN
EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR
IMMEDIATELY BELOW THE OPENING.
B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD
INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP,
FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE.
NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE.
C2.e) ELECTRIC OUTLET LOCATED ON WALL.
A8.) BOTTOM FLOOR ENCLOSURE CONTAINS FINISHED (HABITABLE) AREA.
Attachment Page 7 of 7
N
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a
Ce y
W a
F-
V
w
I m
0
mI! wti
N <�
cg, O- x g'
T• m m m N
F.P.
F.P.
o.
4
695 SF
VESTIBULE
01
6.1
1
== -
2 F.P.
64 SF
ENTRY
526 SF
GARAGE
FLOOD PORT CALCULATIONS
AREA SF F.P. PROVIDED
VESTIBULE 695 SF 800 SF
GARAGE 526 SF 1001 SF
ENTRY 64 SF
TOTAL 1285 SF
GROUND LEVEL AS -BUILT PLAN - UNIT 16
SCALE: 1/8"=V-0".
JOHN PANTAZES
ARCHITECT AR#92860
176 BRIGHTWATER DRI — UNIT 1
1
JOHN PANTAZES ARCHITECT
320 CAUSEWAY BLVD
DUNEDIN, FLORIDA 34698
(727) 871-2042
BRIGHTWATER
VACATION
TOWNHOMES
RHTER
C_IG•� WAD Vi
IFLORIDA
PROJECT NO.:14-01
DATE;
U.S. C4iPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
OMB No. 1660-0008
Expiration Date: November 30, 2018
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, an
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
BRIGHTWATER BLUE RESIDENCES, LLC
Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
176 BRIGHTWATER DRIVE UNIT 1
Company NAIL Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 16, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0160
A4. Building Use (e.g.,
A5. Latitude/Longitude:
A6. Attach at least
A7. Building Diagram
A8. For a building
a) Square footage
b) Number of
c) Total net area
d) Engineered
A9. For a building with
a) Square footage
b) Number of
c) Total net area
d) Engineered
Residential, Non -Residential, Addition, Accessory, etc.)
Lat. 27.9720° N. Long. 82.8242° W.
RESIDENTIAL
Horizontal Datum:
obtain flood insurance.
1.0 foot above adjacent
above adjacent grade
❑ NAD 1927
grade
x NAD 1983
9
2 photographs of the building if the
Number 7
Certificate is being used to
1221 sq ft
with a crawlspace
of crawlspace
permanent flood
of flood openings
flood openings?
an attached
of attached
permanent flood
of flood openings
flood openings?
or enclosure(s):
or enclosure(s)
openings in the crawlspace
in A8.b 1801
sq
or enclosure(s) within
in
sq ft
within 1.0 foot
sq in
N/A
x Yes ❑ No
garage:
garage N/A
openings in the attached garage
in A9.b N/A
❑ Yes x No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name &'Community Number
CITY OF CLEARWATER -•.125096
B2. County Name
PINELLAS COUNTY
B3. State
FLORIDA
B4. Map/Panel
Number
12103C0102
B5. Suffix
G
B6. FIRM Index
Date
8-18-09
B7. FIRM Panel
Effective/
Revised Date
9-3-03
B8. Flood Zone(s)
AE
B9. Base Flood Elevation(s)
(Zone AO, use Base
Flood Depth)
11.0'
B10. Indicate the source
❑ FIS Profile
B11. Indicate elevation
B12. Is the building
Designation Date:
of the Base Flood Elevation (BFE)
data
❑ NGVD
System
or base flood depth entered in Item B9:
❑ Other/Source:
❑x FIRM • Community Determined
datum used for BFE in Item B9:
located in a Coastal Barrier Resources
N/A ❑ CBRS
1988 ❑ Other/Source:
or Otherwise Protected
1929 x NAVD
(CBRS) area
❑ OPA
Area (OPA)?
• Yes x No
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 1 of 6
ELEVATION CERTIFICATE
^
OMB No. 1660'0008 .0•• .
Expiration Date: November 30,2O10
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt. Unit, Sulte, and/or Bldg. No.) or P0. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: Construction Drawings* LI Buliding Under Construction* J Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2.Elevations — Zones 41_A3O.AE, AH, A(with BFE).VE, V1—VJO.V(with 8FE).AR, AR/A.ARt4E.AR/A1-83O.AR/AM.AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988
Indicate eIevaton datum used for the &evations in items a) through h) below.
[] NGVD 1929 El] NAVD 1988 DOther/Goumo:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6 . 52 El feet E] meters
b) Top of the next higher fioor 17 49 Li feet D meters
horizontalc)Bottom ofthe lowest mN A a�ctuna|momber(VZonenon|y) E] feet lj]ma0ars
d) Attached garage (top of slab) N A E] feet DI meters
e) Lowest elevation of machinery or equipment servicing12 82 thebui|g|n8 Ell feet []meters
(Describe type of equipment and Iocation iri Comments)
V Lowest adjacent (finished) grade next to bullding (LAG) 0. 1 E] feet E] meters
g) Highest adjacent (finished) grade next to building (HAG) 6. 4 El feet 0 meters
h) Lowest adjacent grade at Iowest elevation of deck or stairs, including N.A E:]feet []metes
structural support
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be sigd sealed by a land surveyor, engineer, or architect authorized by law to certify elevationinhznnahnn.
/ certify that the information on this Certificate represents my best efforts to intetthodateava&sble./undem&endthatany/alse
statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001
Were latitude and longitude in Section A provided by a licensed land surveyor? riYeo []No 1 Check here if attachments.
Certifier's Name License Number
GEORGE 8.8H/k8PIII 6137
lace
PSeal
Here
tVilt 4
#O137 Date: 7'15-2018
Title Job Number
VICE PRESIDENT 140283-S
yNome
GEORGE A. INC. ASSOCIATES,
Address
3301 DeSOTO BOULEVARDSUITED
City State ZIP Code
PALM HARBOR FLORIDA 34883
(Not valid unless embossed with
surveyor's original raised seal)
S' tureDate Telephone
�6� 7 1�2�10 7277O4�� ~T7T� ' ' ' '54g6
di
Copy all pm6eonfthis E|evion Ce��ce�and aUo�anUmen�for (1)uommunUyoffido\.(0inoumnceagenVbuilding ui| ngo*noc
Comments (including type of equipment and |ocation, per C2(e), if applicable)
SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS
DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S
ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 2 of 6
ELE,ATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a
complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters
LOMA or LOMR-F request,
used. In Puerto Rico only,
the elevation is above or below
• above or ❑ below the HAG.
❑ above or ❑ below the LAG.
9 (see pages 1-2 of Instructions),
❑ above or ❑ below the HAG.
❑ above or ❑ below the HAG.
❑ above or ❑ below the HAG.
with the community's
this information in Section G.
•
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or
the next higher floor (elevation C2.b in
the diagrams) of the building is ❑ feet ❑ meters
E3. Attached garage (top of slab) is ❑ feet ❑ meters
E4. Top of platform of machinery and/or equipment•
servicing the building is ❑ feet ❑ meters
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance
floodplain management ordinance? ❑ Yes ❑ No • Unknown. The local official must certify
SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
f .,
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 3 of 6
ELEVATION CERTIFICATE
OMB No. 1600-0008
. `
Expiration Date: November 30, 18
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARVVATER FLORIDA 33767
Company NAC Number
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement
used in Items G8 -G10. In Puerto Rico only, enter meters.
G1.0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
G2. El A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE)
orZone AO.
G3. [] The following information (Items G4 -G10) is provided for community floodplain management purposes.
G4. Permit Number
Gs. Date Permit Issued
G5. Date Certificate of
Compliance/Occupancy Issued
G7. This perrnit has been issued for: [l
G8Elevationo�ao'�ui|�|o�e���oor(ino|uding�aeemen�
�[]*ae�
��thebui\ding�oum
Gg. BFEor(in Zone AO) depth offlooding otthe
Gb. Communitys design flood elevation:
New Construction 0 Substantial Improvement
feet
feet
[� meters Datum
building site: ^[�~
[� meters Datum
[]
[]meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type ufeq'''~~^~^-~~ '---^'-- --'"~'-` '"--''—^'-`
176 U�U�N��U� ��U� DR �
��w�^n��nwn ����n�~°� ~~
U�d���������h�����d�
=,,�° =~�"—�������_~
ec
BRIGHTWATER BLUE
Zoning: Tourist Atlas #: 276A
� ��F�w ��\ 1",, ����
���NE.��y���7_1� / `_3'q,..,
�����~r-t "/���� �#�y \ /\ \�/
lL_�� -'^ ``...
ox�—��—s
�t~i6 Y�D \nQ
K4�T
PLANNING ,F, O[/LOP�
CITY OF �' .::APVVATER
0 Check here if attachments.
FEMA Form 086-0-3 (7/15)
Replaces all previous editions.
Form Page 4 of 6
BUILDING PHOTOGRAPHS
ELEVATION CERTIFICATE See Instructions for Item A6.
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City
CLEARWATER
State
FLORIDA
ZIP Code
33767
Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
Photo One
Photo One Caption FRONT VIEW
7-13-2018
Photo Two
Photo Two Caption REAR VIEW
7-13-2018
FEMA Form 086-0-33 (7/15)
Replaces all previous editions. Form Page 5 of 6
ELEVATION CERTIFICATE
BUILDING PHOTOGRAPHS
Continuation Page
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo One
Photo One
Photo One Caption N/A
Photo Two
Photo Two
Photo Two Caption N/A
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 6 of 6
ELEVATION CERTIFICATE
Surveyor's Notes
Attachment Page 7
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
FOR INSURANCE COMPANY USE
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION D — SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2)
Al.) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN
SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE
COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE
SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND
MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND
SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND
SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO
GEORGE A. SHIMP II & ASSOCIATES, INC.
A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY.
A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR
EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET.
A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY.
CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS
BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS
DETERMINATION.
A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED
BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A
GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT
CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A
FINISHED (HABITABLE) AREA.
IF APPLICABLE, THE STRUCTURE CONTAINS: 0 CRAWLSPACE 0 ENCLOSURE ❑ ATTACHED GARAGE 0 N/A
IF APPLICABLE, THE CRAWLSPACE CONTAINS
FT. PER OPENING (MANUFACTURER:
N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER
N/A — MODEL: N/A ).
N/A SQ.
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 8 ENGINEERED FLOOD OPENING(S) CERTIFIED TO
COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ).
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS:
GARAGE, STORAGE, ENTRY, ELEVATOR AND STAIRS
IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES 0 NO 0 N/A
A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER
N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ).
A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN
EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR
IMMEDIATELY BELOW THE OPENING.
B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD
INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP,
FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE.
NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE.
C2.e) ELECTRIC OUTLET LOCATED ON WALL.
A8.) BOTTOM FLOOR ENCLOSURE SHALL NOT BE USED AS HABITABLE AREA.
A8.b) BOTTOM FLOOR ENCLOSURE CONTAINS 1 NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF 201 SQ. INCHES.
Attachment Page 7 of 7
13:58:58 2018
ghtWater/ground level asbuilt plane.dwg,
ti
o y
W -<
4( C) U)
pN LU
w
=Q m
rQ
co fa ,!
Na I'
CO E
- m N m
F. P.
F.P.
•
•
2 F.P.
64 SF
ENTRY
695 SF
VESTIBULE
F.P.
IF. P.
F.P.
F.P.
201 SQ.IN.
FLOOD VENT
W/ INSECT SCREEN
501 SF
GARAGE
FLOOD PORT CALCULATIONS
AREA SF F.P. PROVIDED
VESTIBULE 695 SF 800 SF
GARAGE 501 SF 1001 SF
ENTRY 64 SF
TOTAL 1260 SF
GROUND LEVEL AS -BUILT PLAN - UNIT 25
SCALE: 1 /8"=1'-0".
JOHN PANTAZES
ARCHITECT AR#92860
182 BRIGHTWATER DR — UNIT 5
umes/Architecture/14_001
JOHN PANTAZES ARCHITECT
320 CAUSEWAY BLVD
DUNEDIN, FLORIDA 34698
(727) 871-2042
BRIGHTWATER
VACATION
TOWNHOMES
aSIGaTIIATas DR=
a AR1/ATER. FLORIDA
PROJECT NO.:14-01
DATE:
0
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
BRIGHTWATER BLUE RESIDENCES, LLC
Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
182 BRIGHTWATER DRIVE UNIT 5
Company NAIC Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 25, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0250
A4. Building Use (e.g.,
A5. Latitude/Longitude:
A6. Attach at least
A7. Building Diagram
A8. For a building
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
A9. For a building with
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
Residential, Non -Residential, Addition,
Lat. 27.9719° N. Long.
Accessory, etc.) RESIDENTIAL
82.8235° W.
Horizontal Datum:
obtain flood insurance.
1.0 foot above adjacent
above adjacent grade
❑ NAD 1927
grade
x NAD 1983
9
2 photographs of the building if the
Number 7
Certificate is being used to
1196 sq ft
with a crawlspace
of crawlspace
flood
of flood openings
flood openings?
an attached
of attached
flood
of flood openings
flood openings?
or enclosure(s):
or enclosure(s)
openings in the crawlspace
in A8.b 1801
sq
or enclosure(s) within
in
sq ft
within 1.0 foot
sq in
N/A
x Yes ❑ No
garage:
garage N/A
openings in the attached garage
in A9.b N/A
❑ Yes x No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
CITY OF CLEARWATER - 125096
B2. County Name
PINELLAS COUNTY
B3. State
FLORIDA
B4. Map/Panel
Number
12103C0102
B5. Suffix
G
B6. FIRM Index
Date
8-18-09
B7. FIRM Panel
Effective/
Revised Date
9-3-03
B8. Flood Zone(s)
AE
B9. Base Flood Elevation(s)
(Zone AO, use Base
Flood Depth)
11.0'
B10. Indicate the source
❑ FIS Profile
B11. Indicate elevation
B12. Is the building
Designation Date:
of the Base
Flood Elevation (BFE)
❑ Community Determined
for BFE in Item B9:
Coastal Barrier Resources
❑ CBRS
data
❑ NGVD
System
or base flood depth entered in Item B9:
❑ Other/Source:
x FIRM
datum used
located in a
N/A
1988 ❑ Other/Source:
or Otherwise Protected
1929 x NAVD
(CBRS) area
❑ OPA
Area (OPA)?
❑ Yes x No
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 1 of 6
ELEVATION CERTIFICATE
=�
OMB No. 1OOO-00O
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
182 BRJGHTWATER DRIVE UNIT 5
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: Construction Drawings* Building Under Construction* J Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations — Zones A1—A30, AE, AH, A (with BFE), VE, V1—V30, V (with 8FE).AR, AR4\.AR/AE. ARA\1—A30. AR/«H.AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item AL In Puerto Rico only, enter meters.
Benchmark Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: NA.V.D.1V08
Indicate elevation datum used for the elevations in items a) through h) below.
[1 NGVD 1929 ID NAVD 1988 ElOther/Oource:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 0. 52 ID feet Fl meters
b) Top of the next higher floor 17 49 ID feet ID meters
n) BottomN A oftho|o�osLhorizonts|atruntunu|membor(VZonenun|y) 0 feet Eimetora
d) Attached garage (tN A ofe|ob) El feet n meters
e) Lowest elevation of machinery or equipment servicin12 82 thebui|�inB In feet []meters
(Describe type of equipment and location in Comments)
f) Lowest adj(finished)O1
tobui|din�(LAG) �z feet Ell meters
g) Highest adjacent (finished) grade next to building (HAG) 0. 4 0 feet Ell meters
h) Lowest includingadjacent gradeat|mweato|evadnnofdecko,otains.N . A ID feet 0metero
structural support
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect
/ certify that the informationonthisCertifica&/exontsmybonteffbrts/ninte9met/hnoakzaws0ab/e./unoemtondthatany/also
statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section
Were latitude and longitude in Section A provided by a licensed land surveyor?
»
authorized by law
1001.
Yes []No
to
x
certify elevationin*nrmotion
Check here if attachments.
Certifier'xName License Number
GEORGE A. SHIMP III 6137
lace
PSeal
Here
Title Job Number
VICE PRESIDENT 140283'8
Company Name
A. ASSOCIATES, INC.�
GEORGE AGH|�P\|&4,7=.714.-
^—~�~�'-��
#6137
— �
Date: 7'13'2018
Address
BOULEVARD,33O1DeGOTO8V|TED
City State ZIP Code
PALM HARBOR FLORIDA 34683
(Not valid unless embossed with
surveyor's original raised seal)
tune Date Telephone
7-13-2018 727'784'5496
Copy all pages of this Elev ion Certificate and all attachments for(1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS
DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S
ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 2 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
182 BRIGHTWATER DRIVE UNIT 5
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a
complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters
LOMA or LOMR-F request,
used. In Puerto Rico only,
the elevation is above or below
❑ above or ❑ below the HAG.
❑ above or ❑ below the LAG.
9 (see pages 1-2 of Instructions),
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or
the next higher floor (elevation C2.b in
the diagrams) of the building is • feet ❑ meters
❑ above or ■ below the HAG.
❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters
E4. Top of platform of machinery and/or equipment
servicing the building is ❑ feet ❑ meters
• above or ❑ below the HAG.
with the community's
this information in Section G.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify
SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 3 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008 so, ' ^
Expiration Date: November 30, 2018
IMPORTANT: In these spacescopy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building StreeAddress (including Apt. Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
182 BRIGHTWATER DRIVE UNIT 5
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION 0 — COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement
used in Items G8—G10. In Puerto Rico only, enter meters.
d
G1, 0 The in/bnnaUoninSection Cwas taken homother douumontaVonthat has been signed and sealed b y a licenseauneynr,
engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE)
or Zone AO.
G3. 0 The following information (Items G4—G10) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for: []
G8. Elevation of as -built lowest floor (including
of the building:
G9. BFE or (in Zone AO) depth of flooding at the
G10. Community's design flood elevation:
New Construction 0 Substantial Improvement
basement)
[]feet
El feet
feet
0metem Datum
building site:
meters Datum
[]
El meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (includi -'�� - ' ' ^ —~ '--"-- --'~n^^ ;f°~�ie-nhle
182 BRIGHT�� DR ��
����0��A�� - -- - ~ ~~~° ~�
_�' ��"��'��34C
em
BR|GHlVVATER8LUE RESORT LLC
Zoning: Tourist Atlas #: 27'
n����\yX���:��" PLA�J��
:��_ v ����—�� ���
R�������-i�y[��� BY � & ���
��-�/�_� IVED `~ �� �v
8|/" ?O ';:M1J
PLANNING & [}E\/E[(]PM:HNT
CITY OF Ci-EAF<',NATEP
El Check here if attachments.
FEMA Form 086-0-33 (7/ 5)
Replaces all previous editions.
Form Page 4 of 6
BUILDING PHOTOGRAPHS
ELEVATION CERTIFICATE See Instructions for Item A6.
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
182 BRIGHTWATER DRIVE UNIT 5
FOR INSURANCE COMPANY USE
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
Photo One
Photo One Caption FRONT VIEW
7-13-2018
Photo Two
Photo Two Caption REAR VIEW
7-13-2018
FEMA Form 086-0-33 (7/15)
Replaces all previous editions. Form Page 5 of 6
ELEVATION CERTIFICATE
BUILDING PHOTOGRAPHS
Continuation Page
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
182 BRIGHTWATER DRIVE UNIT 5
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo One
Photo One
Photo One Caption N/A
Photo Two
Photo Two
Photo Two Caption N/A
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 6 of 6
s
Surveyor's Notes
Attachment Page 7
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
182 BRIGHTWATER DRIVE UNIT 5
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION D — SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2)
Al.) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN
SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE
COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE
SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND
MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND
SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND
SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO
GEORGE A. SHIMP II & ASSOCIATES, INC.
A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY.
A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR
EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET.
A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY.
CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS
BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS
DETERMINATION.
A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED
BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A
GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT
CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A
FINISHED (HABITABLE) AREA.
IF APPLICABLE, THE STRUCTURE CONTAINS: ❑ CRAWLSPACE 0 ENCLOSURE ❑ ATTACHED GARAGE ❑ N/A
IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ.
FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ).
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 8 ENGINEERED FLOOD OPENING(S) CERTIFIED TO
COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ).
GARAGE, STORAGE, ENTRY, ELEVATOR AND STAIRS
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS:
IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES 0 NO 0 N/A
A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER
N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ).
A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN
EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR
IMMEDIATELY BELOW THE OPENING.
B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD
INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP,
FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE.
NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE.
C2.e) ELECTRIC OUTLET LOCATED ON WALL.
A8.) BOTTOM FLOOR ENCLOSURE SHALL NOT BE USED AS HABITABLE AREA.
A8.b) BOTTOM FLOOR ENCLOSURE CONTAINS 1 NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF 201 SQ. INCHES.
Attachment Page 7 of 7
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
OMB No. 1660-0008
Expiration Date: November 30, 2018
Copt/ all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
BRIGHTWATER BLUE RESIDENCES, LLC
Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
176 BRIGHTWATER DRIVE UNIT 1
Company NAIC Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 16, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0160
A4. Building Use (e.g.,
A5. Latitude/Longitude:
A6. Attach at least
A7. Building Diagram
A8. For a building with
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
A9. For a building with
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
Residential, Non -Residential, Addition,
Lat. 27.9720° N. Long.
Accessory, etc.) RESIDENTIAL
82.8242° W.
Horizontal Datum:
obtain flood insurance.
1.0 foot above adjacent
above adjacent grade
❑ NAD 1927
grade
x NAD 1983
9
2 photographs of the building if the
Number 7
Certificate is being used to
1285 sq ft
a crawlspace
of crawlspace
flood
of flood openings
flood openings?
an attached
of attached
flood
of flood openings
flood openings?
or enclosure(s):
or enclosure(s)
openings in the crawlspace
in A8.b 1801 sq
or enclosure(s) within
in
sq ft
within 1.0 foot
sq in
N/A
x Yes ❑ No
garage:
garage N/A
openings in the attached garage
in A9.b N/A
❑ Yes x No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
CITY OF CLEARWATER - 125096
B2. County Name
PINELLAS COUNTY
B3. State
FLORIDA
B4. Map/Panel
Number
12103C0102
B5. Suffix
G
B6. FIRM Index
Date
8-18-09
B7. FIRM Panel
Effective/
Revised Date
9-3-03
B8. Flood Zone(s)
AE
B9. Base Flood Elevation(s)
(Zone AO, use Base
Flood Depth)
11.0'
B10. Indicate the source
❑ FIS Profile
B11. Indicate elevation
B12. Is the building
Designation Date:
of the Base
Flood Elevation (BFE)
❑ Community Determined
for BFE in Item B9:
Coastal Barrier Resources
❑ CBRS
data
❑ NGVD
System
or base flood depth entered in Item B9:
❑ Other/Source:
x FIRM
datum used
located in a
N/A
1988 ❑ Other/Source:
or Otherwise Protected
1929 x NAVD
(CBRS) area
❑ OPA
Area (OPA)?
❑ Yes x No
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 1 of 6
CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction`
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE,
Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico
Benchmark Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988
x Finished Construction
AR/A1-A30, AR/AH, AR/AO.
only, enter meters.
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 x NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
floor basement, crawlspace, or enclosure floor) 6 . 52
Check the measurement used.
x feet ❑ meters
a) Top of bottom (including
17 49
x feet ❑ meters
b) Top of the next higher floor
member (V Zones only) N A
x feet ❑ meters
c) Bottom of the lowest horizontal structural
N A
x feet ❑ meters
d) Attached garage (top of slab)
servicing the building 12 . 82
x feet ❑ meters
e) Lowest elevation of machinery or equipment
(Describe type of equipment and location in Comments)
to building (LAG) 6 . 1
x feet ❑ meters
f) Lowest adjacent (finished) grade next
next to building (HAG) 6 , 4
x feet ❑ meters
g) Highest adjacent (finished) grade
lowest of deck or stairs, including N . A
x feet ❑ meters
h) Lowest adjacent grade at elevation
structural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by
I certify that the information on this Certificate represents my best efforts to interpret the data available.
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
law
to certify elevation information.
I understand that any false
in Section A by a licensed land surveyor? x Yes ❑ No
x Check here if attachments.
Were latitude and longitude provided
Certifier's Name License Number
GEORGE A. SHIMP III 6137
,
;, ,
,;4ir� ,
.', seal "( ..
;H$re
t 4r, ol.i1
om!'
t f (^ + . Sy->
, .,
# 61'37 'Date: i:713-2018
Title Job Number
VICE PRESIDENT 140283-S
Company Name
GEORGE A. SHIMP II & ASSOCIATES, INC.nf`•
Address
3301 DeSOTO BOULEVARD, SUITE D
City State ZIP Code
PALM HARBOR FLORIDA 34683
(Not valid unless embossed with
surveyor's original raised seal)
Sigflure Date Telephone
'IIorititA /a 7-13-2018 727-784-5496
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS
DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S
ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES.
Fnrm Pana 9 of 6
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a
complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters
LOMA or LOMR-F request,
used. In Puerto Rico only,
the elevation is above or below
❑ above or ❑ below the HAG.
❑ above or ❑ below the LAG.
9 (see pages 1-2 of Instructions),
❑ above or ❑ below the HAG.
❑ above or ❑ below the HAG.
❑ above or ❑ below the HAG.
with the community's
certify this information in Section G.
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or
the next higher floor (elevation C2.b in
the diagrams) of the building is ❑ feet ❑ meters
E3. Attached garage (top of slab) is ❑ feet ❑ meters
E4. Top of platform of machinery and/or equipment
servicing the building is ❑ feet ❑ meters
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must
SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
176 BRIGHTWATER DR
BCP2014-09225D i
ec
BRIGHTWATER BLUE
Zoning: Tourist Atlas r
"REVISED" PLANS
RECEIVED BY J.A.W
JUL 3 0 2018
PLANNING & DEVELOPMENT
CITY OF CLEARWATER
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 3 of 6
EVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 201.8
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION G — COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement
used in Items G8—G10. In Puerto Rico only, enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE)
or Zone AO.
G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for: ❑
G8. Elevation of as -built lowest floor (including
of the building:
G9. BFE or (in Zone AO) depth of flooding at the
G10. Community's design flood elevation:
New Construction ❑ Substantial Improvement
basement)
❑feet
❑ feet
❑ feet
❑meters Datum
building site:
❑ meters Datum
❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location, per C2(e), if applicable)
176 BRIGHTVVATER DR 1
BCP2014-09225D
ec
BRIGHTWATER BLUE
Zoning: Tourist Atlas #: 276A
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
ELEVATION CERTIFICATE
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
0
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Photo One
Photo One Caption FRONT VIEW 7-13-2018
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Photo Two
Photo Two Caption REAR VIEW 7-13-2018
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 5 of 6
ELEVATION CERTIFICATE
BUILDING PHOTOGRAPHS
Continuation Page
OMB No. 1660-0008
Expiration Date:
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo One
Photo One
Photo One Caption N/A
Photo Two
Photo Two
Photo Two Caption N/A
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 6 of 6
Surveyor's Notes
Attachment Page 7
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
176 BRIGHTWATER DRIVE UNIT 1
FOR INSURANCE COMPANY USE
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION D — SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2)
Al.) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN
SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE
COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE
SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND
MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND
SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND
SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO
GEORGE A. SHIMP II & ASSOCIATES, INC.
A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY.
A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR
EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET.
A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY.
CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS
BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS
DETERMINATION.
A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED
BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A
GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT
CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A
FINISHED (HABITABLE) AREA.
IF APPLICABLE, THE STRUCTURE CONTAINS: ❑ CRAWLSPACE 0 ENCLOSURE 0 ATTACHED GARAGE 0 N/A
IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ.
FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ).
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 8 ENGINEERED FLOOD OPENING(S) CERTIFIED TO
COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ).
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: GARAGE, STORAGE, ENTRY, ELEVATOR AND STAIRS
IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES I] NO 0 N/A
A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER
N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ).
A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN
EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR
IMMEDIATELY BELOW THE OPENING.
B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD
INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP,
FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE.
NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE.
C2.e) ELECTRIC OUTLET LOCATED ON WALL.
A8.) BOTTOM FLOOR ENCLOSURE SHALL NOT BE USED AS HABITABLE AREA.
A8.b) BOTTOM FLOOR ENCLOSURE CONTAINS 1 NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF 201 SQ. INCHES.
Attachment Page 7 of 7
F.P.
F.P.
Atlas #: 276A
7:72231-1-1-1-12=7
695 SF
ENCLOSED
SPACE
2 F. P.
64 SF
ENCLOSED
SPACE
201 SQ.IN.
FLOOD VENT F.P.
W/ INSECT SCREEN
F.P.
493 SF
ENCLOSED
SPACE
F.P.
F.P.
k; .; ryefl
R ';:' .: E '' A.VV
Ef( Z8
PLANNING '< DEVELOPMENT
CITY OF CLEARWATER
FLOOD PORT CALCULATIONS
AREA SF F.P. PROVIDED
VESTIBULE 695 SF 800 SF
GARAGE 493 SF 1001 SF
ENTRY 64 SF
TOTAL 1252 SF
GROUND LEVEL AS -BUILT PLAN - UNIT 16
SCALE: 1/8"-V-0".
JOHN PANTAZES
ARCHITECT AR#92860
176 BRIGHTWATER DR - UNIT 1
umes/Architecture/14 001
JOHN PANTAZES ARCHITECT
320 CAUSEWAY BLVD
DUNEDIN, FLORIDA 34698
(727) 871-2042
BRIGHTWATER
VACATION
TOWNHOMES
HWGHTr&TU mays
cLZAUATIR. nova
PROJECT NO.:14-01
DATE;
BUILDING DROPS
A Perfect Solution in Every Drop!
Certificate of Authorization: 29578
398 East Dania Beach Blvd.
Suite 338
Dania Beach, FL 33004
954.399.8478 PH
954.744.4738 FX
contact@buildingdrops.com
July 26, 2018
Smart Vent Products, Inc.
430 Andbro Drive, Unit 1
Pitman, NJ 08071
Attn: Michael Graham
152 BRIGHTWATER DR 1
BCP2014-09101BEVlSEQ" PLANS
EC FLOOD VENTS
BRIGHTWATER BLUE RECEIVJ.A.W
Zoning: Tourist Atlas #: 276AED B
JUL 302018
RE: FL5822 — New Product Testing and Florida Product Approval Submittal Process
PLANNING & DEVELOPMENT
CITY OF CLEARWATER
To whom it may concern:
The purpose of this letter is to confirm that Building Drops, Inc. is in the process of updating FL5822 to incorporate new
product testing performed under Blackwater Testing, Inc.'s report # BT -SVP -18-001 & BT -SVP -18-002, and to affirm that
the product specifications, drawings and testing as listed on FL5582-R6 are compliant with 6th Edition FBC requirements.
New product testing has been successfully performed with the Smart Vent Insulated Flood Vent Overhead Door Model
#1540-524/574 installed as an integral part of an overhead door assembly to demonstrate the structural performance of
the overall system. Therefore in my professional opinion the product is acceptable for installations permitted under the
6th Edition FBC for installations that meet the minimum requirements of the limitations as stated on installation drawing
1540-524 and 1540-574 and PER5792 as shown under FL5822.5-R6 and FL5822.7-R6, provided that site required ASD wind
loads do not exceed the tested rating of +41/-46.3 psf. Door construction shall comply with the requirements of 1-5/16"
maximum thickness, 27 gauge exterior and 29 gauge interior minimum skin thicknesses, and polyurethane foam core of
minimum 1 Ib. density or approved equivalent.
Note that updated documentation has been posted to the Florida Building Code Information System website reflecting
testing conducted under BT -SVP -18-001, and is currently set to, a status of "Pending FBC Approval" and is subject to
approval at the August 15th Florida Building Commission Meeting. Upon approval FL5822-R7 will be submitted, updating
the documentation to reflect the reduced gauge thickness and other aspects of door construction as per BT -SVP -18-002.
I trust that this will satisfy your needs, however feel free to call if you have any questions.
RespectfO•
i
•
•
••
1 N.. 7•
OF 'tr i
V.
zzi
� ON/
is � gIt S, signed by Hermes F. Norero, P.E.
S �� zk)on: I am approving this document
Hermes F. 14e� r�, `.'Date: 2018.07.27 09:27:11 -04'00'
Florida Registered1 rbtfessional Engineer#73778
Certification of Independence:
ANA.— f i 7i C rilxk• NftrzevitS4
Please note that I do not have nor will I acquire a financial interest in any company manufacturing or distributing the product(s) for
which this report is being issued. Also, I do not have nor will I acquire a financial interest in any other entity involved in the approval
process of the listed product(s).
Hermes F. Norero, PE
FL PE 73778
Page 1 of 1
�.1.111IIL
r
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Submit S::,cha-;e Stats & Facts Publications Contact Us BCIS Site Map Links Search
L''o . alig, val Me=nu > Product or AppliCat on Search > Apo!ication Lot > Application Detail
FL #
Application Type
Code Version
Application Status
Comments
Archived
FL5822-R5
Revision
2017
Approved
08/18/2017v. date reapply 08/23/17
Product Manufacturer Smart Vent Products, Inc.
Address/Phone/Email 430 Andbro Dr Unit 1
Pitman, NJ 08071
(877) 441-8368
info@smartvent.com
Authorized Signature Michael Graham
info@smartvent.com
Technical Representative Michael Graham
Address/Phone/Email 430 Andbro Dr Unit 1
Pitman, NJ 08071
(877) 441-8368
info@smartvent.com
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Structural Components
Products Introduced as a Result of New Technology
Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Hermes F. Norero P.E.
the Evaluation Report
Florida License PE -73778
Quality Assurance Entity Architectural Testing, Inc., an Intertek Company
Quality Assurance Contract Expiration Date 12/31/2020
Validated By Locke Bowden P.E.
Validation Checklist - Hardcopy Received
Certificate of Independence Ft 5522 R5A:OI Smart Vent COI Sa 2017-W1S .pdf
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code
1612.5(1)(1.2)
1708.2
Product Approval Method Method 2 Option B
https://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018
i tett -LU 1Jtalilt111: t_l7UC 'jillllle
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Date Revised
Summary of Products
08/18/2017
08/24/2017
08/28/2017
10/10/2017
06/20/2018
Pal,e2o1i
FL #
Model, Number or Name
Description
5822.1
SmartVent Model #1540.510
Dual Function Flood and Ventilation Vent
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 200 sq. ft. of interior
space (minimum 2).
Installation Instructions
FL5822 R5 II 1540-510 SS 2017-08-23,odf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER5022 SS 2017-08-23.odf
FL5822 R5 AE SmartVent - Impact Requirements SS 2017-
08-23 odf
Created by Independent Third Party: Yes
5822.2 SmartVent Model # 1540-511
Dual Function Flood and Ventilation Vent
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 400 sq. ft. of interior
space (minimum 2).
Installation Instructions
FL5822 R5 lI 1540-511 SS 2017-02-28.odf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER5022 SS 2017-08-23.p_df
FL5822 R5 AE SmartVent - Impact Requirements SS 2017-
08-23.Qdf
Created by Independent Third Party: Yes
5822.3 SmartVent Model #1540-514
Garage Door Dual Function Flood and Ventilation Vent
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 200 sq. ft, of interior
space (minimum 2).
Installation Instructions
FL5$22 R5 1f 154$-514 SS 2017-02-26.pdf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER5022 SS 2017-0$-23,edf
FL5S22 R5 AE SmartVent - Impact Requirements SS 2017-
0S-23.odf
Created by Independent Third Party: Yes
EZIMINISmartVent Model #1540-520
Insulated Flood Vent
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 200 sq. ft. of interior
space (minimum 2).
Installation Instructions
FL5822 R5 11 1540-520 SS 2017-08-23.n f
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER5022 SS 2017-08-23.pdf
FL5822 R5 AE 3 rtVent - Impact Requirements 55 2017-
_3
08-23.pdf
Created by Independent Third Party: Yes
5822.5
SmartVent Model #1540-521
Insulated Flood Vent
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 400 sqft. of interior
space (minimum 2).
Installation Instructions
FL5822 R5 11 1540-521 65 2017-02-28.pdf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 ,AE PER5022 SS 2017-0$-23.M
FL5822 R5 AE SmartVent - tnywact Requirements SS 2017-
08-23.pdf
Created by Independent Third Party: Yes
5822.6
SmartVent Model #1540-524
16" Garage Door Flood Vent
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 200 sq. ft, of interior
space (minimum 2).
Installation Instructions
FL5822. R5 II 1540-524 55 2017-02-26,0dt-
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER5022 S5 2017-08-23,odf
FL5822 R5 AE SmartVent - Impact Requirements SS 2017-
48-23.odf
Created by Independent Third Party: Yes
5822.7
SmartVent Model #1540-570
Wood Wall Insulated Flood Vent
https://www.tloridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018
M
.1,,r, Lv�t� v1ut111
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 200 sq. ft. of interio
space (minimum 2).
Pate 3 of
Installation Instructions
FL5822 R5 1I 1540-570 SS 2017-02-28,0df
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evacuation Reports
FL5822 R5 AE PER5022 55 2017-08-23.odf
FL5S22 R5 AE SmartVent - Impact Requirements 5S 2017-
08-23 Pt
Created by Independent Third Party: Yes
5822.8
SmartVent Model 01540-574
4.5" Garage Door Flood Ven
I imits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 200 sq. ft, of interior
space (minimum 2).
Installation Instructions
FL5822 R5 11 1540-574 55 2017-02-28.odf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER5022 SS 2017-08-23.pdf
FL5822 R5 AE SmartVent - Impact Requirements SS 2017 -
Created by Independent Third Party: Yes
(Back'
INextl
Contac[ Us :: 1601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AAIEE0 employer. Copyright 2007-2013 State of Florida.:: privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. 0 you do not want your e-mail address released in response to a public -records request, do not send electronic
mail to th0 entity. Instead, contact the office by phone or by traditional mail. 1f you have any questions, please contact 850,487.1395. 'Pursuant to Section 455.275
(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The
emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address,
please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please
click here .
Product Approval Accepts:
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https://www.floridabuilding.org/pr/pr_app_dtLaspx?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018